Healthcare Provider Details

I. General information

NPI: 1073521605
Provider Name (Legal Business Name): DARNIYA P BELTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 02/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 W MEETING ST SUITE B
LANCASTER SC
29720-6233
US

IV. Provider business mailing address

838 W MEETING ST SUITE B
LANCASTER SC
29720-6233
US

V. Phone/Fax

Practice location:
  • Phone: 803-285-2700
  • Fax: 803-285-2707
Mailing address:
  • Phone: 803-285-2700
  • Fax: 803-285-2707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number00026791
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number32057
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: